Skip to main content
Article
Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial
Journal of Nursing Care Quality
  • Susan L. Johnson, University of Washington Tacoma
  • Katie A. Haerling
  • Weichao Yuwen
  • Van Huynh
  • Chi Le
Publication Date
7-10-2019
Document Type
Article
Abstract

Background: Incivility has been identified as a common occurrence in health care settings. While anecdotal evidence exists that these behaviors negatively impact patient care, more robust evidence is lacking. Purpose: This randomized controlled trial investigated the effects of exposure to incivility on clinical performance, teamwork, and emotions. Methods: Teams of nurses were randomly assigned to a control or experimental group. The experimental group was exposed to incivility. Both groups were then prompted to perform basic life support on a high-fidelity manikin. Teams were scored on cardiopulmonary resuscitation (CPR) performance and teamwork. Individuals completed measures of affect and a cognitive test. Results: There were no differences in CPR, cognitive or teamwork scores, or emotional state. However, 66% of the experimental group had a major error in their CPR performance. None of the control groups made the same error. Conclusions: These findings support anecdotal evidence that exposure to incivility may contribute to errors in clinical performance.

DOI
10.1097/NCQ.0000000000000407
Publisher Policy
no SHERPA/RoMEO policy available - ungraded
Citation Information
Susan L. Johnson, Katie A. Haerling, Weichao Yuwen, Van Huynh, et al.. "Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial" Journal of Nursing Care Quality Vol. Published Ahead-of-Print - Last Updated: July 10, 2019 (2019)
Available at: http://works.bepress.com/susan_johnson/18/